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SHIVANI SOOD M.D.
NPI 1356500532
Internal Medicine - Gastroenterology in Norwich, CT

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
79 WAWECUS ST, SUITE 101, NORWICH, CT 06360(860) 886-2655(860) 887-9003 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shivani Sood M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVANI SOOD M.D. (NPI 1356500532) is an individual gastroenterology provider in Norwich, Connecticut, licensed in Connecticut (046556) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2002).

NPPES Registry Identity

NPI1356500532
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSHIVANI SOODCredential: M.D.
Location Address79 WAWECUS ST, SUITE 101Norwich, CT 06360-2160
Mailing Address79 Wawecus St, Suite 101Norwich, CT 06360-2160 · (860) 886-2655 · Fax (860) 887-9003
Phone(860) 886-2655
Fax(860) 887-9003
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2002
Enumeration DateJune 3, 2008
Last NPPES UpdateJanuary 3, 2018
✔ NPI 1356500532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 046556
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
79 WAWECUS ST, Norwich, CT 06360
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Other Identifiers 5

Other9643135Aetna
Other010046556CT01CT · Anthem Blue Cross Blue Shield Of Ct
OtherP3929070Oxford
Other046556CT · Connecticare, Inc
OtherP00687675Medicare Railroad Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shivani Sood M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597839126
PECOS Enrollment IDI20080731000006
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
120 services94 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
87 services84 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
62 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services35 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
40 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
80%44 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
96%540 patients4/55-star benchmark: 99%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
7%69 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
94%472 patients5/55-star benchmark: 85%
NHCR4: Repeat screening or surveillance colonoscopy recommended within one year due to inadequate/poor bowel preparation
Percentage of patients recommended for repeat screening or surveillance colonoscopy within one year or less due to inadequate/poor bowel preparation quality
12%52 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%759 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 365 patients
Patients tobacco: 86% · 365 patients
18%50 patients1/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 251 patients
0%251 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHRYN H BONY OD
Optometrist
79 WAWECUS ST, SUITE 105
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-0161
AIMEE M STEFANSKI MS, APRN, BS
Nurse Practitioner
79 WAWECUS ST, SUITE 106
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-2679
MICHAEL J FUCCI DO
Internal Medicine (Cardiovascular Disease)
79 WAWECUS ST, SUITE #106
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-2679
JEFFREY P SELTZER M.D.
Internal Medicine (Cardiovascular Disease)
79 WAWECUS ST, SUITE 106
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-2679
PETER S MCKAY MD
Ophthalmology
79 WAWECUS ST, SUITE 105
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-0161
GOHAR JAMIL M.D.
Internal Medicine (Cardiovascular Disease)
79 WAWECUS ST, SUITE 106
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-2679
SUNITA SIDHU-BUONOCORE MD
Internal Medicine (Gastroenterology)
79 WAWECUS ST, SUITE 101
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-2655
SANG AND SRIDHAR DIGESTIVE DISEASE CONSULTANTS LLC
Internal Medicine (Gastroenterology)
79 WAWECUS ST, SUITE 102
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-9061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivani Sood's NPI number?

The NPI number for Shivani Sood is 1356500532. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Shivani Sood located?

Shivani Sood practices at 79 Wawecus St Suite 101, Norwich, CT 06360. The listed phone number is (860) 886-2655.

What is Shivani Sood's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shivani Sood enrolled in Medicare?

Yes. Shivani Sood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shivani Sood was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.